At TREND Health Partners, a tech-enabled payment integrity company, our mission is to facilitate collaboration between payers and providers for mutual benefit and waste reduction, ultimately improving access to healthcare. We achieve this by aligning the common goals of payers and providers and fostering collaboration through a shared technology platform and seamless workflows.Joining TREND Health Partners means becoming a part of a dynamic growing organization that promotes a collaborative and innovative work environment. Our comprehensive compensation package includes competitive salaries, highly valued health insurance, a 401(k) plan with employer match, paid parental leave, and more.

The primary responsibility of the Senior AI Full Stack Engineer will overseeing the planning, execution, and delivery of features across frontend and backend, ensuring they are completed on time, within scope, and within quality standards. This role will drive alignment between organizational OKR’s, product roadmaps, and feature deliverables to ensure measurable business impact.

Role And Responsibilities

Design, develop, test, and ship production‑grade software across backend services and front‑end applications.
Build and operate cloud‑native solutions in AWS with a focus on reliability, scalability, and performance.
Develop and maintain backend services primarily in .NET/C#.
Contribute to Angular front‑end development, including component design and API integration.
Implement and support CQRS patterns, separating command and query responsibilities where appropriate.
Design and work with event‑sourced systems, including events, projections/read models, and system evolution over time.
Use MongoDB and OpenSearch to support application persistence, projections, and search capabilities.
Leverage AI-assisted coding tools (including Copilot CLI, Claude Code, Codex) to: Accelerate feature delivery, Refactor and improve existing code, Generate and improve tests, Support documentation
Actively develop and manage agent-driven coding workflows, where multiple AI agents are used to build, test, and iterate on features in parallel
Continuously refine code through AI feedback loops, using iterative prompting, validation, and improvement cycles.
Validate and audit AI-generated code for accuracy, security, and maintainability, applying strong engineering judgment and testing discipline.
Establish and maintain guardrails, validation patterns, and review processes to ensure safe and reliable use of AI-generated output.
Context switch effectively across multiple parallel workstreams and AI agents, maintaining clarity on feature ownership, dependencies, and outcomes
Collaborate closely with Product, QA, and fellow engineers to deliver high‑quality outcomes.
Participate in code reviews and contribute to engineering standards and best practices.
Ensure security, compliance, and quality considerations are embedded in every layer of the stack
Mentor and support other engineers as needed through pairing, feedback, and knowledge sharing.

Qualifications

Strong experience building and maintaining production software systems.
Full-stack development with strong backend (.NET/C#) and frontend (Angular) capabilities
Demonstrated, hands-on experience implementing CQRS and event sourcing patterns in production systems.
Proficiency with AWS services (EC2/ECS/EKS, S3, IAM, Lambda, RDS/DynamoDB, etc.).
Working experience with MongoDB and search technologies such as OpenSearch.
Demonstrated, day‑to‑day use of AI‑assisted coding tools to deliver real software—not just experimentation.
Ability to clearly explain how you validate, test, and take ownership of code.
Strong communication skills and the ability to collaborate effectively in a team environment.

Preferred Skills

Production experience with CQRS and event sourcing.
Familiarity with domain‑driven design concepts such as aggregates, commands, events, and projections.
Experience modernizing systems toward event‑driven or CQRS‑based architectures.
Experience working in healthcare, fintech, or compliance-driven environments is a plus.

Mental And Physical Demands

This position will be exposed mainly to an indoor office environment and will be expected to work in or around computers and printers.
The nature of the work is sedentary, and the employee will be sitting most of the time.
Essential physical functions of the job include typing and the repetitive motion to utilize computer software and hardware continuously throughout the day.
Essential mental functions of this position include concentrating on analytical tasks, reading information, and verbal/written communication to others continuously throughout the day.

Related Duties As Assigned

This job description documents the general nature and level of work but is not intended to be a comprehensive list of activities, duties, or responsibilities required for this position. Consequently, employees may be asked to perform other duties as required.
Employees may also be asked to complete certain compliance requirements set forth by our Business Partners in the performance of their jobs including but not limited to requests for background and drug screenings and disclosures of personal health information or personally identifiable information. Exemptions as provided under the ADA and TITLE VII of the Civil Rights Act will be observed and followed.
Reasonable accommodations may be made to enable individuals with disabilities to perform the functions outlined above.